Guest guest Posted March 26, 2003 Report Share Posted March 26, 2003 dkeyez@... writes <<i need some advice on getting my tummy tuck approved.>> My advice: never call it a tummy tuck - it is reconstructive surgery, specifically an abdominoplasty. Kind of gets you in the right mind set. For my carriers (Cigna for me, HealthNet for hubby), the key was having a thorough record of the associated medical issues and what we had done to try to resolve them. Go to the doctor every month to talk about the lower back pain the pannus is undoubtedly causing. If you have rashes, go every month and get a prescription. In my case, I tried pain medication, physical therapy, and a personal trainer at the gym to strengthen musculature to try and support the pannus. All the efforts were documented; obviously, all of them failed. Hubby has done the same since about 1 year post-op with trips to the dr to document. In my case, I had to go through 3 appeals for approval. In his case, we just got his approval the first go-round, no questions asked. It does help to have a surgeon who will phrase their request appropriately as well, stressing the reconstructive nature of the surgery. Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2003 Report Share Posted March 26, 2003 dkeyez@... writes <<i need some advice on getting my tummy tuck approved.>> My advice: never call it a tummy tuck - it is reconstructive surgery, specifically an abdominoplasty. Kind of gets you in the right mind set. For my carriers (Cigna for me, HealthNet for hubby), the key was having a thorough record of the associated medical issues and what we had done to try to resolve them. Go to the doctor every month to talk about the lower back pain the pannus is undoubtedly causing. If you have rashes, go every month and get a prescription. In my case, I tried pain medication, physical therapy, and a personal trainer at the gym to strengthen musculature to try and support the pannus. All the efforts were documented; obviously, all of them failed. Hubby has done the same since about 1 year post-op with trips to the dr to document. In my case, I had to go through 3 appeals for approval. In his case, we just got his approval the first go-round, no questions asked. It does help to have a surgeon who will phrase their request appropriately as well, stressing the reconstructive nature of the surgery. Kate Quote Link to comment Share on other sites More sharing options...
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